The best a health care system can do is to equip itself to meet the needs of each individual woman and birth. Those needs run the gamut from undisturbed home birth to planned cesarean section.
We see very, very high rates of C-sections, Cesarean sections, in India. Lots of reasons for it, high levels of malnutrition have meant that women have very small pelvic areas often, so if they have larger babies, it's very hard to deliver.
There is no scientific evidence that doing over 10 percent of births with a cesarean improves the outcome for the woman or improves the outcome for the baby.
I can always tell if a band has a British rhythm section due to the gritty production.